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Dealing with Feline Chronic Kidney Disease in Singapore

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Old 18-08-2016, 02:13 AM   #31
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she passed away nov 2014
her body just can't take it anymore...
ultrasound showed that her right kidney is just a shapeless mass
oh my gosh! I'm so sorry for your loss dear. My sincere apologies for bringing the painful memory back.
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Old 18-08-2016, 10:27 AM   #32
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oh my gosh! I'm so sorry for your loss dear. My sincere apologies for bringing the painful memory back.
no worries.
it was hard in the beginning
now i focus on the happy times we spent together
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Old 22-08-2016, 01:24 PM   #33
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Applefreak,

My wonderful cat pass away today, gave him a week of IV.

Many thanks for the help about the sub cut and link.

no worries.
it was hard in the beginning
now i focus on the happy times we spent together
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Old 23-08-2016, 09:53 AM   #34
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Applefreak,

My wonderful cat pass away today, gave him a week of IV.

Many thanks for the help about the sub cut and link.
oh no!!! I'm so sorry for your loss
It'll be hard and no amount of words can ease that pain
Try to focus on the happy times you've spent together and he will be waiting for you at the other side of the rainbow bridge *hugs*
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Old 23-08-2016, 10:55 AM   #35
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Applefreak,

My wonderful cat pass away today, gave him a week of IV.

Many thanks for the help about the sub cut and link.
I'm so sorry for your loss.
RIP little one.
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Old 23-08-2016, 06:29 PM   #36
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Applefreak
AristroCats

Yeah, quite sad.

Thanks for the positive vibes.

Cheers.
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Old 04-10-2016, 07:04 PM   #37
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First off, DO check out Tanya's Comprehensive Guide to Feline Chronic Kidney Disease - Everything You Need to Know to Help Your Cat. There are so many things to learn about this disease and as our cats' caregiver, we need to keep on top of things to make sure the rest of their lives are as comfortable as possible.
I'm a vet working in Singapore, this is actually the site I send all my first time CKD patients to. Very comprehensive and well researched info.

For anyone who wants more detailed and technical staging of the disease there is the International Renal Interest Society (iris-kidney.com) guidelines for dogs and cats.

Most of the time we are limited in our treatments by our suppliers, Singapore is too small a market for most companies to bother and even we need to order online or get special approval from AVA to import certain drugs.

Other than that if you have a good vet don't be afraid to discuss your concerns with them, you'll find not all of us are closed minded. Avoid adding supplements etc before you talk to your vet because every case needs to be treated on its own merit and not all cats may need a certain supplement or it may not be appropriate to give in that particular case.

I haven't met Dr Huang personally but I have a client & friend who swears by him (when she isn't seeing me that is )
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Old 14-01-2018, 02:25 AM   #38
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Hi, has anyone here tried Lactogold? I suppose itís similar to Azodyl in that it needs to be kept refrigerated.
Any reviews/comments?
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Old 14-01-2018, 09:14 AM   #39
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Hi, has anyone here tried Lactogold? I suppose it’s similar to Azodyl in that it needs to be kept refrigerated.
Any reviews/comments?

That would actually be full name "LactoGold Acerol" not just "LactoGold". There is a probiotics product called "LactoGold" so don't mistake one for the other! They are different but both are developed by the same homegrown biotech company. Acerol requires vet prescription whereas LactoGold is OTC (online retailer).

Acerol contains probiotics strains of Lactobacillus Acidophilus, Bifidobacterium Longum, Lactobacillus Gasseri plus Inulin vs Azodyl's patented strains of Lactobacillus Acidophilus, Bifidobacterium Longum, Enterococcus (Streptococcus) Thermophilus plus Phyllium. Both products supposedly promotes binding of uraemic toxins in the body with the strains and are similarly marketed to relieve kidney workload by trapping them and then getting it excreted faecally.

LactoGold also seems to contain extras: certain fermentable oat products (not sure if FOS is inside) on top of the listed Inulin and other stuff - edit: its probiotics strains are also largely different from Azodyl's.

I won't elaborate or try not to, lol as it will become a WoT: CKD cats not necessarily do well with so many fermentable or soluble fibres, of which some may (FOS) end up binding calcium in the small intestine and lead to an increase in calcium levels in the body. There already is enough things to take note of, helping our kitties and maintaining and halting as much as possible, this chronic disease :p If your cat is IRIS Stage 3 with CREA over 3.5, usually subcut is started as far as I understand. There is calcium in Hartmann's, while both LactoGold and fluids might not be enough to cause Hypercalcaemia, I would err on the safe side personally. Pls do not start supplements for your CKD cat without checking blood works etc - be guided by your vet

I am not sure which product you are referring to, hence my concerns n post. I hope it clarifies.

FYI, I support homegrown always and my kitty was an Acerol user for a year approx until the formulation seemed to have changed 3rd quarter of 2017, B.Longum was removed. I have switched since.

Cheers and let's all keep fighting the good fight with our CKD kitties

Also, a shout out to @Applefreak Thank you for starting this. Before I freaked out too much in Nov 2016, your thread was the third thing I read. After felinecrf and IRIS. You did well, kitty is across rainbow bridge waiting to see you again some days

Last edited by helkel; 14-01-2018 at 09:16 AM..
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Old 14-01-2018, 10:34 PM   #40
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That would actually be full name "LactoGold Acerol" not just "LactoGold". There is a probiotics product called "LactoGold" so don't mistake one for the other! They are different but both are developed by the same homegrown biotech company. Acerol requires vet prescription whereas LactoGold is OTC (online retailer).

Acerol contains probiotics strains of Lactobacillus Acidophilus, Bifidobacterium Longum, Lactobacillus Gasseri plus Inulin vs Azodyl's patented strains of Lactobacillus Acidophilus, Bifidobacterium Longum, Enterococcus (Streptococcus) Thermophilus plus Phyllium. Both products supposedly promotes binding of uraemic toxins in the body with the strains and are similarly marketed to relieve kidney workload by trapping them and then getting it excreted faecally.

LactoGold also seems to contain extras: certain fermentable oat products (not sure if FOS is inside) on top of the listed Inulin and other stuff - edit: its probiotics strains are also largely different from Azodyl's.

I won't elaborate or try not to, lol as it will become a WoT: CKD cats not necessarily do well with so many fermentable or soluble fibres, of which some may (FOS) end up binding calcium in the small intestine and lead to an increase in calcium levels in the body. There already is enough things to take note of, helping our kitties and maintaining and halting as much as possible, this chronic disease :p If your cat is IRIS Stage 3 with CREA over 3.5, usually subcut is started as far as I understand. There is calcium in Hartmann's, while both LactoGold and fluids might not be enough to cause Hypercalcaemia, I would err on the safe side personally. Pls do not start supplements for your CKD cat without checking blood works etc - be guided by your vet

I am not sure which product you are referring to, hence my concerns n post. I hope it clarifies.

FYI, I support homegrown always and my kitty was an Acerol user for a year approx until the formulation seemed to have changed 3rd quarter of 2017, B.Longum was removed. I have switched since.

Cheers and let's all keep fighting the good fight with our CKD kitties

Also, a shout out to @Applefreak Thank you for starting this. Before I freaked out too much in Nov 2016, your thread was the third thing I read. After felinecrf and IRIS. You did well, kitty is across rainbow bridge waiting to see you again some days


Hi, thank you for replying. Yes, I was referring to Lactogold Acerol prescribed by my vet. My kitty is also using Hartmannís as instructed by vet. I didnít understand that bit you wrote about calcium in Hartmannís and how I should be causious. Could you elaborate? If it makes things easier, you can email me or WhatsApp if you prefer. Iíd appreciate any form of advise. My kittyís recent liver profile showed his levels at 3.9
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Old 15-01-2018, 01:55 AM   #41
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Hey no problem about my replying, glad that only a little effort on the part could help fellow CKD kitty Guardians

I was referring to LactoGold the probiotics with the additional stuffs as compared to Acerol as maybe having the potential to drive up calcium levels (or I might be over thinking it) over a long period of time in combination with subcut fluids and playing it safe, as not sure which product you were referring to previously.

I think you are referring to kidney CREA values at 3.9 instead of Liver right?
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Old 15-01-2018, 01:55 PM   #42
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Hey no problem about my replying, glad that only a little effort on the part could help fellow CKD kitty Guardians

I was referring to LactoGold the probiotics with the additional stuffs as compared to Acerol as maybe having the potential to drive up calcium levels (or I might be over thinking it) over a long period of time in combination with subcut fluids and playing it safe, as not sure which product you were referring to previously.

I think you are referring to kidney CREA values at 3.9 instead of Liver right?
I have 2 cats. 15 yrs and 14 yrs old. The 15yrs old cat's kidneys are slowly losing their function, this was discovered on oct 2016 when we brought her to the vet. Vet asked us to feed her azodyle every day and put her on drips 3-4 times a week. As of Dec 2017, her readings have been stabilized and vet asked us to continue what we are doing now.

Now my 2nd cat who is 14, also have the same issue. One of her kidney is slightly starting to lose function. So she too have to be on Azodyl daily and put on drips 3 times a week.
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Old 15-01-2018, 09:38 PM   #43
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Hey no problem about my replying, glad that only a little effort on the part could help fellow CKD kitty Guardians

I was referring to LactoGold the probiotics with the additional stuffs as compared to Acerol as maybe having the potential to drive up calcium levels (or I might be over thinking it) over a long period of time in combination with subcut fluids and playing it safe, as not sure which product you were referring to previously.

I think you are referring to kidney CREA values at 3.9 instead of Liver right?

Goodness me... yes, I meant kidney profile and not liver.
Iím just wondering if Azodyl is better than Lactogold Acerol as Iíve seen more ppl taking about the latter rather than the former.
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Old 15-01-2018, 09:40 PM   #44
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I have 2 cats. 15 yrs and 14 yrs old. The 15yrs old cat's kidneys are slowly losing their function, this was discovered on oct 2016 when we brought her to the vet. Vet asked us to feed her azodyle every day and put her on drips 3-4 times a week. As of Dec 2017, her readings have been stabilized and vet asked us to continue what we are doing now.

Now my 2nd cat who is 14, also have the same issue. One of her kidney is slightly starting to lose function. So she too have to be on Azodyl daily and put on drips 3 times a week.
So sorry to hear that. My girl is 14 too and yeah Iím sure my other girl will start too.

Does anyone here know of boarding places that can do subcut? I canít have a sitter come over as my dad lives with me and he doesnít want strangers coming over and he wonít help to look afer them. Difficult for me when I have to travel.
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Old 19-01-2018, 08:31 PM   #45
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I might not check in here frequently so have sent PM previously with mobile FYI

Regarding Acerol vs Azodyl. Personally for my own cat, after being switched on Azodyl for 8.5wks so far, a review at the 7th week mark showed no difference in kidney values vs the previous year of being on Acerol. Aka either both don't work or both worked and maintained the same stabilised readings ;p Aka my cat kidney values would have read a bit higher if I did not use either product. I did do a transition and did not abruptly change between the 2 probiotics supplement.

More people talked about Azodyl because it's an American brand ( arguably more 'international'?) Plus it's out in the market longer I'm guessing. And its leased by the original inventor to Vetoquinol to market and manufacture... they are a pretty big player in animal products. Big marketing budget. Acerol don't seem to have public marketing done unlike Azodyl which does both to end users and people in the vet profession. Maybe Acerol only does trade marketing only to people in the vet profession. Hence perhaps these are why its less heard of or talked about. I consider both products in the same 'category' to relieve kidney workloads loh.

I have come across a few small tests run by either the manufacturer or studies by interested parties regarding Azodyl effects on companion animals (mainly cat dog only) Pls note that these are not recorded scientific trials, so it's not comparable to those actual trials ran in science-based medicinals. The sample sizes were too small and also does not strictly adhere to actual trial standards. I can't recall this particular article name / link atm but it states that Azodyl only improves at most approx 10% of kidney values in cats that respond to it (about half).

You should use a product for 3mths imo, then get a baseline reading for the kidneys. Then, switch if you really want to and then get another reading. Of cos, maintain everything else in between similar if not exactly the same. That includes food, environment and even attention paid to your cat. The only variable you can't control is aging. And potential disease progression....

My prev vet started my cat on Acerol when she was picked off the streets and sent for medical attn due to an infected bite wound that required hospitalisation. The kidney insufficiency was detected as part of the bloodworks done during that hospitalisation. I adopted my cat at that point because if she was returned to the streets with a cured wound, she still has kidney issues right?!

I was with this vet clinic for 3.5mths and had to switch after that. As the original vet was a locum who left, and this clinic does not have Ultrasound facilities and the owner vet is a guy - I prefer female vets haha, and wanted ease of Ultrasound scans so transferred to another vet. This clinic allowed me to continue filling my Acerol prescription despite not bringing my cat to be treated there anymore, aware that my current vet knows and is ok with. I'll be honest with you, my current vet does not carry Acerol nor Azodyl and does not believe in the product but is of the opinion that if it doesn't hurt then I shouldn't change any of my routine and continue using. My current vet is aware I switched from Acerol to Azodyl as the formula changed for Acerol.

Last edited by helkel; 19-01-2018 at 09:04 PM..
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